<form role="form">
    <fieldset>
        <div class="form-group">
            <input class="form-control" placeholder="E-mail" name="email" type="email" autofocus>
        </div>
        <div class="form-group">
            <input class="form-control" placeholder="Password" name="password" type="password" value="">
        </div>
        <div class="checkbox">
            <label>
                   <input name="remember" type="checkbox" value="Remember Me"><?php echo __('Remember Me'); ?>
            </label>
        </div>
                                <!-- Change this to a button or input when using this as a form -->
        <a href="#" class="btn btn-lg btn-success btn-block"><?php echo __('Login'); ?></a>
    </fieldset>
</form>